Shoulder Pain After Electric Shock – Clinical Patient Case of the Week

Andrea Eberly, MD, MS, FAAEMClinical Pearls, Emergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Personal Education, Physician Assistant, Urgent Care

Severe Shoulder Pain After Electric Shock - Patient Case - Shoulder Dislocation

Shoulder Pain After Electric Shock - Clinical Patient Case of the Week

Try this free Orthopedics Case Q&A courtesy of Med-Challenger.

This orthopedic injuries case comes from our Med-Challenger MyEMCert, part of Med-Challenger's library of board exam review and CME question banks.

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Try this case and test your knowledge of shoulder trauma.

A conscious patient is brought in by emergency medical services after experiencing an electric shock. Amongst several complaints, the patient has severe left shoulder pain. On examination, the patient is semi-reclined and holding his left arm tightly across the front of his body.

You obtain a portable single view preliminary x-ray in the trauma bay (see Figure 1).

shoulder pain after shock - electric shock shoulder trauma

Question:

Which of the following statements is correct about this patient's injury?

Answer Options:

This is the most commonly missed fracture in the upper extremity.

This injury requires surgery.

Neurologic injury is especially common with this injury.

The patient's ability to supinate his left wrist should be checked.

See the Answer:

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